Sleep apnoea

sachinaps24 · Post by **sachinaps24** » Sat Nov 17, 2018 10:54 pm

TropicalDiver wrote: ↑
Sat Nov 17, 2018 10:16 pm
I also have asthma and OSA -- my initial AHIs were well into the 80s. I used the S9 VAUTO and am moving to the Aircurve 10 VAUTO. I tried the equivalent model in the dreamstation (BiPAP auto) line after the S9 but am going to the aircurve.

For whatever reason, the ResMed just seems to sync with my breathing better. While my AHIs were good with either the S9 or the Dreamstation, my subjective sleep quality was much better with the S9. Others will prefer the Respironics.

Masks are one of the most important aspects of therapy. There are tons of choices (and sizes) out there.

Thank you very much

sachinaps24 · Post by **sachinaps24** » Sun Dec 02, 2018 6:49 am

Pugsy wrote: ↑
Sat Nov 17, 2018 4:22 pm
If it was my mom I would have her use the ResMed AirCurve 10 VAUTO bilevel machine.

The term "bipap" is actually a marketing term for the Respironics bilevel machines...but often it is used in generic form for all bilevels.
Sort of like ResMed using VPAP or VAuto...they don't use the term bipap...they use the term bilevel.

Unless something weird happens with the asthma I think that the AVAPS type of machine is over kill and the way it will actually force her to breathe might end up being more uncomfortable than the AirCurve 10 VAUTO.
ResMed's transition between inhale and exhale is also more smooth/comfortable than the equivalent machine in the Respironics brand...and I have used both brands. More customizable features to make the timing work with her own respiration timing.

Of Resmed Aircurve 10 S & resmed aircurve 10 vauto which is better....is the auto function in the latter a beneficial option or can it be problematic at times???

Pugsy · Post by **Pugsy** » Sun Dec 02, 2018 7:30 am

sachinaps24 wrote: ↑
Sun Dec 02, 2018 6:49 am
Of Resmed Aircurve 10 S & resmed aircurve 10 vauto which is better....is the auto function in the latter a beneficial option or can it be problematic at times???

The AirCurve 10 VAuto is the better option. The auto mode can be a huge benefit in some situations and rarely a problem for anyone.
Here's the beauty of the VAuto...if the auto mode is a problem..you can always use fixed bilevel mode instead.
But if you get the S model there is no auto mode at all and if you happen to need auto adjusting....can't do it.

Let me use myself as an example and why having auto mode sometimes is a huge benefit.
My OSA is worse in REM sleep (quite common) and sometimes in REM I would need 6 to 8 cm more pressure.
We normally have our sleep be composed of REM for about 20% of the night.
If I didn't use an auto adjusting machine I would have to use a LOT more pressure all night long just to deal with the REM events.
Same can be said of supine sleeping...it's common to need more pressure when on our backs...but maybe we only sleep on our backs 1/3 the night.

I sometimes need 15 to 18 cm pressure during REM. The rest of the night I get by just fine with around 9 or 10 cm.
I sure don't want to have to use 16 cm all night long just to deal with 20% of the night I need higher.
There's a big difference in overall comfort there.

Also...for some people higher pressures cause aerophagia issues...air in gut...using higher only when needed can often avoid some pretty nasty belly issues.

It's a no brainer...always get as many options as you can because it's always better the have something and not need it than need it and not have it.
Insurance will pay the same for the S model as it does for the VAuto model...why not get all the options since the cost to insurance is the same which means cost to you is the same.
Now if no insurance...we have a different chat about it if money is really tight because retail there is a price difference.

sachinaps24 · Post by **sachinaps24** » Sun Dec 02, 2018 7:47 am

Pugsy wrote: ↑
Sun Dec 02, 2018 7:30 am

sachinaps24 wrote: ↑
Sun Dec 02, 2018 6:49 am
Of Resmed Aircurve 10 S & resmed aircurve 10 vauto which is better....is the auto function in the latter a beneficial option or can it be problematic at times???
The AirCurve 10 VAuto is the better option. The auto mode can be a huge benefit in some situations and rarely a problem for anyone.
Here's the beauty of the VAuto...if the auto mode is a problem..you can always use fixed bilevel mode instead.
But if you get the S model there is no auto mode at all and if you happen to need auto adjusting....can't do it.

Let me use myself as an example and why having auto mode sometimes is a huge benefit.
My OSA is worse in REM sleep (quite common) and sometimes in REM I would need 6 to 8 cm more pressure.
We normally have our sleep be composed of REM for about 20% of the night.
If I didn't use an auto adjusting machine I would have to use a LOT more pressure all night long just to deal with the REM events.
Same can be said of supine sleeping...it's common to need more pressure when on our backs...but maybe we only sleep on our backs 1/3 the night.

I sometimes need 15 to 18 cm pressure during REM. The rest of the night I get by just fine with around 9 or 10 cm.
I sure don't want to have to use 16 cm all night long just to deal with 20% of the night I need higher.
There's a big difference in overall comfort there.

Also...for some people higher pressures cause aerophagia issues...air in gut...using higher only when needed can often avoid some pretty nasty belly issues.

It's a no brainer...always get as many options as you can because it's always better the have something and not need it than need it and not have it.
Insurance will pay the same for the S model as it does for the VAuto model...why not get all the options since the cost to insurance is the same which means cost to you is the same.
Now if no insurance...we have a different chat about it if money is really tight because retail there is a price difference.

Thanks a lot.....

sachinaps24 · Post by **sachinaps24** » Sun Dec 02, 2018 8:53 am

Pugsy wrote: ↑
Sun Dec 02, 2018 7:30 am

sachinaps24 wrote: ↑
Sun Dec 02, 2018 6:49 am
Of Resmed Aircurve 10 S & resmed aircurve 10 vauto which is better....is the auto function in the latter a beneficial option or can it be problematic at times???
The AirCurve 10 VAuto is the better option. The auto mode can be a huge benefit in some situations and rarely a problem for anyone.
Here's the beauty of the VAuto...if the auto mode is a problem..you can always use fixed bilevel mode instead.
But if you get the S model there is no auto mode at all and if you happen to need auto adjusting....can't do it.

Let me use myself as an example and why having auto mode sometimes is a huge benefit.
My OSA is worse in REM sleep (quite common) and sometimes in REM I would need 6 to 8 cm more pressure.
We normally have our sleep be composed of REM for about 20% of the night.
If I didn't use an auto adjusting machine I would have to use a LOT more pressure all night long just to deal with the REM events.
Same can be said of supine sleeping...it's common to need more pressure when on our backs...but maybe we only sleep on our backs 1/3 the night.

I sometimes need 15 to 18 cm pressure during REM. The rest of the night I get by just fine with around 9 or 10 cm.
I sure don't want to have to use 16 cm all night long just to deal with 20% of the night I need higher.
There's a big difference in overall comfort there.

Also...for some people higher pressures cause aerophagia issues...air in gut...using higher only when needed can often avoid some pretty nasty belly issues.

It's a no brainer...always get as many options as you can because it's always better the have something and not need it than need it and not have it.
Insurance will pay the same for the S model as it does for the VAuto model...why not get all the options since the cost to insurance is the same which means cost to you is the same.
Now if no insurance...we have a different chat about it if money is really tight because retail there is a price difference.

Have you experienced any leakage issues with the humidifier of your machine...what capacity is it?? Does non heated tubing suffice

Pugsy · Post by **Pugsy** » Sun Dec 02, 2018 9:27 am

The only time I have ever had any water chamber leakage was because I dropped the water chamber and broke the seal.
My fault totally.
In 9 years and multiple machines...twice in the last 9 months because I dropped the water chamber after cleaning it.

Water chamber capacity for all water chambers available on the spec page of all products.
https://www.cpap.com/cpap-humidifiers/c ... r-chambers
The AirSense/AirCurve chambers will hold 380 ml of water to fill it to a clearly marked Max fill line.

The heated hose allows for greater consistency of humidity being delivered as well as condensation/rain out prevention should people happen to have that happen because of the humidity level they prefer and the ambient room temperatures.
I use a heated hose year round...essentially turn off the heat in the summer when warmer air doesn't feel so good and I don't need it for condensation prevention...and I turn it up in the winter because it feels better and prevents condensation.
I keep my house cold...and that cold air doesn't feel so good going up my nose in the winter so even if I didn't need to prevent condensation I would use it just to prevent ice cube nose syndrome.
I do need help in preventing condensation in the winter because I use a high humidity and that with a cold bedroom is a recipe for water in the hose and mask.
There are other ways to deal with condensation...see posts #2 and 3 here
viewtopic/t94035/Pugsys-Pointers-3Deali ... -road.html
but I prefer to just do the heated hose and adjust the temp as needed. I have better control that way plus it's just simpler. I don't have to think much about what to do.

So the need for a heated hose will depend on personal preferences...humidity, room air temp, etc.

sachinaps24 · Post by **sachinaps24** » Sun Dec 02, 2018 9:36 am

Thanks...

raisedfist · Post by **raisedfist** » Sun Dec 02, 2018 1:58 pm

The ResMed AirCurve 10 VAuto is the machine I would get. ResMed machines provide effective treatment because in VAuto mode the algorithm responds quickly when needed, but the pressure changes are pretty smooth due to what's called "Easy-Breathe" technology. ResMed is also preferred because it has so many different options that most Respironics machines don't have...trigger and cycle adjustment, Ti Min and Max, automatic rise time in VAuto mode...plus the machine is more aesthetic and modern looking which doesn't hurt.

PR BiPAP AVAPS is a non-invasive ventilator...the machine auto-adjusts when AVAPS is enabled but to target an average tidal volume. Treating OSA is not the primary intention and the machine will not respond to OSA events.

sachinaps24 · Post by **sachinaps24** » Mon Dec 03, 2018 12:22 am

Thanks

sachinaps24 · Post by **sachinaps24** » Mon Dec 03, 2018 2:50 am

Pugsy wrote: ↑
Sun Dec 02, 2018 9:27 am
The only time I have ever had any water chamber leakage was because I dropped the water chamber and broke the seal.
My fault totally.
In 9 years and multiple machines...twice in the last 9 months because I dropped the water chamber after cleaning it.

Water chamber capacity for all water chambers available on the spec page of all products.
https://www.cpap.com/cpap-humidifiers/c ... r-chambers
The AirSense/AirCurve chambers will hold 380 ml of water to fill it to a clearly marked Max fill line.

The heated hose allows for greater consistency of humidity being delivered as well as condensation/rain out prevention should people happen to have that happen because of the humidity level they prefer and the ambient room temperatures.
I use a heated hose year round...essentially turn off the heat in the summer when warmer air doesn't feel so good and I don't need it for condensation prevention...and I turn it up in the winter because it feels better and prevents condensation.
I keep my house cold...and that cold air doesn't feel so good going up my nose in the winter so even if I didn't need to prevent condensation I would use it just to prevent ice cube nose syndrome.
I do need help in preventing condensation in the winter because I use a high humidity and that with a cold bedroom is a recipe for water in the hose and mask.
There are other ways to deal with condensation...see posts #2 and 3 here
viewtopic/t94035/Pugsys-Pointers-3Deali ... -road.html
but I prefer to just do the heated hose and adjust the temp as needed. I have better control that way plus it's just simpler. I don't have to think much about what to do.

So the need for a heated hose will depend on personal preferences...humidity, room air temp, etc.

Is Resmed lumis 150 a new series....does it come only with ST vpap function?? Is it any different from the aircurve models??? Also is there a way by which you can know whether a product is brand new or refurbished one..??coz there are rumours here of refurbished models being in the circulation

Pugsy · Post by **Pugsy** » Mon Dec 03, 2018 8:31 am

sachinaps24 wrote: ↑
Mon Dec 03, 2018 2:50 am
Is Resmed lumis 150 a new series...

No...not a new model series. It's nothing more than a very specialized AirCurve machine...It comes only in the ST model.
It's not a machine for someone with OSA. It's more for people with severe lung disease that need air forced into them.
Hugely different from the other AirCurve models...it's more like a true ventilator....think some sort of neuromuscular disease where people simply can't take in enough air at all...that sort of medical need.

I have no idea how one might distinguish between brand new or refurbished other than the word of whomever is selling it.
ResMed would know of course from the serial number for each machine but they won't ever tell us anything.

sachinaps24 · Post by **sachinaps24** » Mon Dec 03, 2018 8:38 am

Okay...thanks

palerider · Post by **palerider** » Mon Dec 03, 2018 9:07 pm

Looks like the Lumis 150 ST is another name for the AirCurve ST-A iVAPS machine.... (like the CS Pacewave is a renamed Adapt)

Sleep apnoea

Re: Sleep apnoea

Re: Sleep apnoea

Re: Sleep apnoea

Re: Sleep apnoea

Re: Sleep apnoea

Re: Sleep apnoea

Re: Sleep apnoea

Re: Sleep apnoea

Re: Sleep apnoea

Re: Sleep apnoea

Re: Sleep apnoea

Re: Sleep apnoea

Re: Sleep apnoea

Machine	Mask	Humidifier

Machine	Mask	Humidifier

Machine	Mask	Humidifier

Machine	Mask	Humidifier